NCLEX Questions, NCLEX Trainer Test 8 Questions, NCLEX-PN Qu

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Question 1 of 5

A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

Correct Answer: D

Rationale: Refraining from using soap or lotion preserves radiation site markings, ensuring accurate treatment. Removing markings, covering, or using powder risks disrupting the treatment field.

Extract:

A 32-year-old multipara is seen in the prenatal clinic. The nurse notes she is in her fifth month of pregnancy and has a weight gain of 14 pounds. The history indicates that prenatally the client was of average height and weight.

Question 2 of 5

The nurse should advise the client that

A. she has gained too much weight and her diet should be reevaluated. B. she has not gained enough weight and her diet should be reevaluated. C. her weight gain is appropriate and she should continue on her present diet. D. her weight gain indicates that she may have difficulties later in pregnancy.

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) excessive weight gain is >6.6 lb (3 kg)/month (2) inadequate weight gain is <2.2 lb (1 kg)/month (3) correct-weight gain 2-5 lb (2.5 kg) first trimester, 0.66-1.1 lb (0.5 kg) weekly in second and third trimester (4) not substantiated by information presented in question

Extract:

Question 3 of 5

The nurse is caring for a client with a history of alcoholism.

A. Which laboratory finding is most concerning for a client with chronic alcoholism? B. Serum potassium of 3.2 mEq/L. C. Blood urea nitrogen of 18 mg/dL. D. Hemoglobin of 13.5 g/dL. E. Aspartate aminotransferase (AST) of 150 U/L.

Correct Answer: A

Rationale: A serum potassium of 3.2 mEq/L indicates hypokalemia, a life-threatening complication in chronic alcoholism due to poor nutrition and diuretic effects of alcohol, risking arrhythmias. Elevated AST reflects liver damage, but hypokalemia is more immediately dangerous.

Extract:

The triage nurse for a women's health center receives a phone call from each of the following women.

Question 4 of 5

Which woman should be directed to come to the health care facility IMMEDIATELY?

A. A multipara woman who is four weeks pregnant and reporting unilateral, dull abdominal pain. B. A primipara woman who is seven weeks pregnant and reporting an increase in whitish vaginal secretions. C. A primigravida woman who is five weeks gestation and is having vaginal spotting and some cramping. D. A multigravida woman who is six weeks pregnant and reporting frank, red vaginal bleeding with moderate cramps.

Correct Answer: A

Rationale: Strategy: Determine the least stable client. (1) correct-needs to be evaluated for an ectopic pregnancy (2) expect during first trimester of pregnancy (3) symptomatic of threatened abortion; instruct to decrease activity (4) symptoms of spontaneous abortion; instruct client to save and count pads

Extract:

Question 5 of 5

A laboring woman says to the LPN/LVN, 'My baby is coming! My baby is coming!' She was last checked 15 minutes ago and was 5 cm dilated. What should the LPN/LVN do initially?

A. Have her checked to see if she has progressed B. Reassure her that she cannot be that far along C. Reposition her to begin pushing D. Request medication to help her relax

Correct Answer: A

Rationale: Urgent reports of delivery sensation require immediate cervical check to confirm progression, as rapid labor can occur, ensuring timely intervention.

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